Individual
REDITA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 W LONG LAKE RD, TROY, MI 48098-4438
(248) 840-8234
Mailing address
33262 LINSDALE CT, STERLING HEIGHTS, MI 48310-6032
(586) 457-3965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
R550734004937
MI
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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